PTAC Survey

Government Contract Survey

IMPORTANT NOTICE
Please do not complete this survey unless you receive an email from the Procurement Technical Assistance Center asking you to do so. This information is required in order to retain PTAC services.

Please complete this survey if your company received contracts during the time frame below.
If you did not receive any contracts, please click here to complete a different survey.

Company

Contact Name

Telephone

ex. 413-555-1212

PTAC Counselor

If unsure, please refer to the bottom of your original email
to determine counselor's name.

This survey covers the period July 1 - September 30, 2007,
as well as any contracts not previously reported.

How many government contracts did you bid on during the time frame listed above?

Indicate the services you received from PTAC during the time frame listed above.
Bid Match Specifications/Standards NSN Search Procurement History
Counseling (phone or visit) Other

If applicable, what is your Contract Number?

Please list all Federal contracts awarded to your company during the time frame listed above.

Award Date	Amount	Contract#	Agency

If you need additional space for awards, please click here.

Please list all State or Municipal contracts awarded to your company during the time frame listed above.

Award Date	Amount	Contract#	Agency

If you need additional space for awards, please click here.

Please list all Subcontracts received from a prime contractor during the time frame listed above.

Award Date	Amount	Contract#	Agency

If you need additional space for awards, please click here.

How many jobs were created and/or retained as a result of the contract(s) awarded?
Full Time: Created Retained
Part Time: Created Retained

Are the contract announcements you receive from PTAC appropriate for your company? Yes No N/A

Would you like to continue receiving contract announcements? Yes No

Comments

Name of preparer
Title

I hereby certify that the above statements are true and accurate.